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2020-07-12_REVISION - M2004017
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2020-07-12_REVISION - M2004017
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Entry Properties
Last modified
1/8/2025 8:02:13 AM
Creation date
8/12/2020 7:47:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004017
IBM Index Class Name
REVISION
Doc Date
7/12/2020
Doc Name
Concurrence Correspondence
From
Granby S&G LLC
To
DRMS
Email Name
PSH
JXT
Media Type
D
Archive
No
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DATE(MM/DD/YYYY) <br /> ,4coirr�" CERTIFICATE OF LIABILITY INSURANCE <br /> 1/17/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Katie.Smothers <br /> Commercial Risk Solutions PHONE FAx <br /> 6600 E Hampden Ave Ste 200 •303-996-7801 A/c No):303-757-7719 <br /> Denver CO 80224 ADDRESS: ksmothers@crsdonver.com <br /> INSURE S AFFORDING COVERAGE NAIC# <br /> INSURER A:United Specialty Insurance Co <br /> INSURED ESCOC-1 INSURER B:Plnnacol Assurance 41190 <br /> ESCO Construction Company INSURER c:Evanston Insurance Co. <br /> ESCO Sand and Gravel LLC,DBA Granby Sand and Gravel <br /> P.O. Box 2796 INSURER D:Selective Ins.Co.of America 12572 <br /> Evergreen CO 80439 INSURER E:Navigators Insurance Co. <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:1036957448 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> I�TR TYPE OF INSURANCE ADDLSU D POLICYNUMBER MMIDDPOLICY/YYYY MM D EFF DN XP LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY ATNSF1964809 7/1/2019 7/1/2020 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE FXI OCCUR DAMAGE TO RENTED PREMISES Eaoccurrence) $50,000 <br /> MED EXP(Any one person) 9 <br /> PERSONAL BADVINJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY tI JE 0. LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> D AUTOMOBILE LIABILITY S2305385 7/1/2019 7/1/2020 COMBINED SINGLE LIMIT $1,000,000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED L <br /> NON-OWNED PROPERTY DAMAGE : <br /> IAUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> C X UMBRELLA LIAB X OCCUR MKLV2EUL103409 7/1/2019 7/1/2020 EACH OCCURRENCE $3,000,000 <br /> EXCESS LIAS CLAIMS-MADE AGGREGATE $3,000,000 <br /> DED I X I RETENTION 3 $ <br /> B WORKERS COMPENSATION 4124549 7/1/2019 7/1/2020 X SPER J <br /> TATUTE I I ERH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBEREXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> H yes describe under - <br /> DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> D Leased/Rented EquipmenVRC/Specia S2305385 7/1/2019 7/1/2020 Limit/Deductible 550,000/1,000 <br /> E Excess Liability GA19EXC8436801C 7/1/2019 7/1/2020 Occurrence 6,000,000 <br /> Aggregate 6,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> All policy terms,conditions and exclusions apply. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Colorado Division of Reclamation, Mining and Safety <br /> 1313 Sherman St. AUTHORIZED REPRESENTATIVE <br /> Denver CO 80203 Q <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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